Mrs. Candela is an educator focused on technology who enjoys connecting with others and believes in second chances, as shown by her favorite character Tigger from Winnie the Pooh.
Kombinasi parecoxib 40 mg IV dengan epidural bupivakain 0,125% sebagai multimodal analgesia menurunkan kadar sitokin pro-inflamasi IL-6, meningkatkan kadar sitokin anti-inflamasi IL-10, dan menurunkan rasio IL-6:IL-10 serum pada 2 jam paskabedah
Kombinasi parecoxib 40 mg IV dengan epidural bupivakain 0,125% sebagai multimodal analgesia dapat menekan dan menstabilkan kadar sitokin pro-inflamasi IL-6, sitokin anti-inflamasi IL-10, dan rasio IL-6:IL-10 serum dalam 24 jam paskabedah .
Kombinasi parecoxib 40mg IV dengan epidural bupivakain 0,125% sebagai multimodal analgesia dapat menurunkan NRS paskabedah.
Teknik multimodal analgesia kombinasi COX-2 selektif inhibitor dan epidural analgesia dapat memberikan penanganan nyeri yang lebih baik dan dapat menekan proses inflamasi sehingga dapat mencegah terjadinya sensitisasi perifer maupun sentral.
Sepsis is SIRS which is due to an infection Sepsis is a major cause of mortality, killing approximately 1,400 people worldwide every day.
Surviving Sepsis Campaign (2008)
The key to successful and safe postoperative pain management is not so much the use of new, sophisticated and expensive techniques, but organizational structure, good protocol and excellent training of the staff is the key point
Kombinasi parecoxib 40 mg IV dengan epidural bupivakain 0,125% sebagai multimodal analgesia menurunkan kadar sitokin pro-inflamasi IL-6, meningkatkan kadar sitokin anti-inflamasi IL-10, dan menurunkan rasio IL-6:IL-10 serum pada 2 jam paskabedah
Kombinasi parecoxib 40 mg IV dengan epidural bupivakain 0,125% sebagai multimodal analgesia dapat menekan dan menstabilkan kadar sitokin pro-inflamasi IL-6, sitokin anti-inflamasi IL-10, dan rasio IL-6:IL-10 serum dalam 24 jam paskabedah .
Kombinasi parecoxib 40mg IV dengan epidural bupivakain 0,125% sebagai multimodal analgesia dapat menurunkan NRS paskabedah.
Teknik multimodal analgesia kombinasi COX-2 selektif inhibitor dan epidural analgesia dapat memberikan penanganan nyeri yang lebih baik dan dapat menekan proses inflamasi sehingga dapat mencegah terjadinya sensitisasi perifer maupun sentral.
Sepsis is SIRS which is due to an infection Sepsis is a major cause of mortality, killing approximately 1,400 people worldwide every day.
Surviving Sepsis Campaign (2008)
The key to successful and safe postoperative pain management is not so much the use of new, sophisticated and expensive techniques, but organizational structure, good protocol and excellent training of the staff is the key point
Mengurangi kejadian dan beratnya nyeri akut pascabedah atau pasca trauma.
Mengedukasi pasien tentang pentingnya komunikasi mengenai nyeri yang masih dirasakan sehingga dapat dilakukan evaluasi dan penanganan segera.
Meningkatkan kenyamanan dan kepuasan pasien
Berkontribusi dalam mengurangi komplikasi pascabedah
KESIMPULAN:
PIEB menghasilkan insiden blok motorik lebih rendah serta instrumentasi persalinan yang lebih rendah dibandingkan teknik kontinyu epidural
Total dosis bupivacaine lebih rendah dengan teknik PIEB dibandingkan epidural kontinyu. Breakthrough pain lebih rendah pada PIEB dan tingkat kepuasan pasien lebih tinggi dengan teknik PIEB.
Pain is a very complex condition and each person is affected differently. It has many physical and psychological components and individuals can experience fatigue, anxiety, mood changes and depression.
Role of the thalamus in propofol-induced unconsciousness relates primarily to the functional connections of nonspecific nuclei to the cortex (i.e., mediating multimodal integration of information)
Formation of pain chapter as national priority of Nepal.
Pain Management strategy update and future direction
Provide continuing education of hospital staff and patients
Add technician for offering around the clock service
Upgrade to new Approach and Technique
MgSO4 30 mg/kgBB/IV dan10 mg/kgBB/IV/jam kontinyu efektif menurunkan kebutuhan isofluran namun tidak efektif menurunkan kebutuhan fentanil
MgSO4 tidak mempengaruhi respon hemodinamik.
Tidak ditemukan adanya efek samping akibat pemberian MgSO4 saat intraoperatif maupun paskabedah.
IN CONCLUSION:
CRPS is a chronic debilitating painful condition
There has been significant advances in our understanding of its Pathophysiology
Early diagnosis and management – is essential to help patients and reduce suffering
The Budapest Criteria should help while excluding others
A Multidisciplinary Approach to Management has been shown to be beneficial
With particular emphasis on Patient Education and Support
Summary:
- Preeclampsia is a syndrome of unknown etiology with multiorgan involvement
- It presents with a wide spectrum of symptoms
- It is sometimes difficult to distinguish from other systemic diseases
- Severe cases may progress to MOF and death
- Delivery of the child and placenta is the only specific treatment – other lines of teatment are only supportive
There are several issues regarding diagnostic techniques and treatment options that need further evaluation
Kesimpulan:
ANTI INFLAMMATORY DRUGS
a valuable adjuvant as part of a multimodal analgesic regimen for the management of pain in the perioperative period
effective adjunct in multimodal regimens to reduce postoperative pain
Effective pain management in terminally ill requires
Understanding of pain control strategies
Ongoing assessment
Diagnosis of pain
Breakthrough pain relief
Fine adjustment of medications
Opioid rotation
Unresolved psychosocial or spiritual issue can be great impact to pain management
Pain is physiological antagonist of CNS depressan effects
Opioid need to be titrated :
Opioid responsive pain (Pain sensitive opioid)
Combined analgesic therapy
ie after start with Mo and then adding
nerve block,Mo dose should reduced
Opioid respiratory depression may occur if used for
indication other than analgesia
Opioid are mainly effective against steady, dull pain
less effective against pain on moving and coughing
SpAn harus memberi waktu untuk pengelolaan nyeri
SpAn harus mampu mengelola nyeri dengan memilih cara yang paling aman, paling efektif dan paling ekonomis
Berperan aktif pada acute pain
Berperan, minimal partisipatif, dalam chronic pain
Berperan utama pada interventional pain management
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Mengurangi kejadian dan beratnya nyeri akut pascabedah atau pasca trauma.
Mengedukasi pasien tentang pentingnya komunikasi mengenai nyeri yang masih dirasakan sehingga dapat dilakukan evaluasi dan penanganan segera.
Meningkatkan kenyamanan dan kepuasan pasien
Berkontribusi dalam mengurangi komplikasi pascabedah
KESIMPULAN:
PIEB menghasilkan insiden blok motorik lebih rendah serta instrumentasi persalinan yang lebih rendah dibandingkan teknik kontinyu epidural
Total dosis bupivacaine lebih rendah dengan teknik PIEB dibandingkan epidural kontinyu. Breakthrough pain lebih rendah pada PIEB dan tingkat kepuasan pasien lebih tinggi dengan teknik PIEB.
Pain is a very complex condition and each person is affected differently. It has many physical and psychological components and individuals can experience fatigue, anxiety, mood changes and depression.
Role of the thalamus in propofol-induced unconsciousness relates primarily to the functional connections of nonspecific nuclei to the cortex (i.e., mediating multimodal integration of information)
Formation of pain chapter as national priority of Nepal.
Pain Management strategy update and future direction
Provide continuing education of hospital staff and patients
Add technician for offering around the clock service
Upgrade to new Approach and Technique
MgSO4 30 mg/kgBB/IV dan10 mg/kgBB/IV/jam kontinyu efektif menurunkan kebutuhan isofluran namun tidak efektif menurunkan kebutuhan fentanil
MgSO4 tidak mempengaruhi respon hemodinamik.
Tidak ditemukan adanya efek samping akibat pemberian MgSO4 saat intraoperatif maupun paskabedah.
IN CONCLUSION:
CRPS is a chronic debilitating painful condition
There has been significant advances in our understanding of its Pathophysiology
Early diagnosis and management – is essential to help patients and reduce suffering
The Budapest Criteria should help while excluding others
A Multidisciplinary Approach to Management has been shown to be beneficial
With particular emphasis on Patient Education and Support
Summary:
- Preeclampsia is a syndrome of unknown etiology with multiorgan involvement
- It presents with a wide spectrum of symptoms
- It is sometimes difficult to distinguish from other systemic diseases
- Severe cases may progress to MOF and death
- Delivery of the child and placenta is the only specific treatment – other lines of teatment are only supportive
There are several issues regarding diagnostic techniques and treatment options that need further evaluation
Kesimpulan:
ANTI INFLAMMATORY DRUGS
a valuable adjuvant as part of a multimodal analgesic regimen for the management of pain in the perioperative period
effective adjunct in multimodal regimens to reduce postoperative pain
Effective pain management in terminally ill requires
Understanding of pain control strategies
Ongoing assessment
Diagnosis of pain
Breakthrough pain relief
Fine adjustment of medications
Opioid rotation
Unresolved psychosocial or spiritual issue can be great impact to pain management
Pain is physiological antagonist of CNS depressan effects
Opioid need to be titrated :
Opioid responsive pain (Pain sensitive opioid)
Combined analgesic therapy
ie after start with Mo and then adding
nerve block,Mo dose should reduced
Opioid respiratory depression may occur if used for
indication other than analgesia
Opioid are mainly effective against steady, dull pain
less effective against pain on moving and coughing
SpAn harus memberi waktu untuk pengelolaan nyeri
SpAn harus mampu mengelola nyeri dengan memilih cara yang paling aman, paling efektif dan paling ekonomis
Berperan aktif pada acute pain
Berperan, minimal partisipatif, dalam chronic pain
Berperan utama pada interventional pain management
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
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